Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | P19096 | MD |
NPI | 1063559268 |
---|---|
Provider Name | Dr. Kristin Whitford Baranano |
First Address | Baltimore, MD 21205-1832 |
Second Address | Baltimore, MD 21236-4902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 04/05/2011 |